Organization Active NPI

Boca Raton Neurologic Associates PA

  • Neurology Physician
  • Boca Raton, FL
National Provider Identifier
1083676035
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME 66113 Issued in FL
Legal business name
BOCA RATON NEUROLOGIC ASSOCIATES PA
Practice address
1050 NW 15TH St
Suite 216-a
Boca Raton, FL 33486-1375
Phone
(561) 338-8484
Fax
(561) 338-8492
NPI assigned
Apr 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bruce R Kastin, M.D.
Title
Owner
Phone
(561) 338-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X ME 66113 FL Primary

Addresses

Primary practice location

1050 NW 15TH St
Suite 216-a
Boca Raton, FL 33486-1375

Mailing address

1050 NW 15TH St
Suite 216-a
Boca Raton, FL 33486-1375
Phone (561) 338-8484

National Provider Directory

National Provider Directory

Locations

3998 Fau Blvd
Ste 120
Boca Raton, FL 33431
Phone (561) 918-0002

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECBHCD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1083676035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST",
            "address_2": "SUITE 216-A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861375",
            "telephone_number": "561-338-8484",
            "fax_number": "561-338-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST",
            "address_2": "SUITE 216-A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861375",
            "telephone_number": "561-338-8484",
            "fax_number": "561-338-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA RATON NEUROLOGIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "KASTIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-338-8484",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME 66113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.